Individual
GRAYSON PALMER KELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1306 BROADWAY, EL CAJON, CA 92021-5810
(619) 551-7400
Mailing address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65860
CA
Other
Enumeration date
09/19/2023
Last updated
06/23/2025
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